This research determined what state the ecoefficient in category III hospitals in Lima Metropolitana. For which a quantitative and descriptive research was conducted; on a sample consisting of three hospitals in category III in Lima Metropolitana. Eco - efficiency, eco - efficiency indicators, sustainable development and eco -efficiency initiatives in Peru: Also main aspects were reviewed. On the other hand, it indicates that it was necessary to apply the tool of the Ministry of Environment to carry out the field portion of this research, after this interview were made to related to the heading of health were valuable contribution to the results . Taking into account the revised literature and information obtained through interviews, researchers proposed a methodology for determining the level of eco - efficient management of the participating hospitals of the sample.
The results indicate that hospitals used for sample conclude with an eco - efficient mid - level management; the participating hospitals if put into practice the basics of eco - efficiency; however, still have several ways to improve taking into account publications makes the Ministry of Environment, etc. Finally, this research is expected to provide a basis for future research related to the health sector and thus become more aware about the importance of applying proper eco -efficient management within an organization